Britain Kalob Davis, CADC
Counselor, Addiction (Substance Use Disorder) in Fortuna, CA. Individual provider (NPI-1).
NPI number1639798564
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1639798564
- Entity type
- Individual (NPI-1)
- Name
- Britain Kalob Davis
- Credential
- CADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2020
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 177F00000X | Lodging | – | – |
Practice location
Po Box 35Fortuna, CA 95540-0035
Phone 707-721-5592
Mailing address
Po Box 35Fortuna, CA 95540-0035
Phone 707-721-5592
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